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Instructions:

  1. Please use the <Edit Contents> menu option (directly above) to complete this form. Remember to <Save> the page (bottom right) after making updates.
  2. Multiple travelers are asked to collaborate as a team in pulling together the appropriate information.
  3. Some information fields are 'richtext' so that they can accommodate tables, links, images, attachments, and other formatting capabilities that may be useful in explaining/describing this proposal.
  4. This form may be edited/saved as many times as needed. When completed, please notify your Pilot Program Coordinator (PPC) for further processing.

Trip Proposals must be approved within the Organization/Structure and Regional GSE Team at least six (6) weeks before the event start date.
Questions about this program should be directed to: CROPP Staff.

Person Completing Form
Name:

Tijani BEN JEMAA

Date:

15-Sep-2016

STAFF USE ONLY
Application
Status 
Assessment
Due-Date 
Form ID #

PENDING

22-Dec-2016

AF04

Trip Proposal Section

LINK:  AFRALO Trip/Event Assessment 4 DRAFT

1) Number of Travelers:
(Note: Each traveler uses one trip of the total number
allocated to each organization/structure).  

1

2) Traveler Contact Information and Itinerary:

TravelerEmailFrom
City
From
Country
Depart
Date
Return
Date
Mohamed Tijani BEN JEMAAtijani.benjemaa@opnet.tnTunisTunisia27-Nov-201630-Nov-2016
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
4) Event/Conference Name, Title, or Descriptor:AFRINIC 25 meetings
5) Event/Conference Dates:
Start:25-Nov-2016End:30-Nov-2016
6) Event/Conference Website Link:https://meeting.afrinic.net/afrinic-25/
7) Primary Event/Conference Location:
Street
Address:
Sofitel Imperial Resort Wolmar, Flic en Flac 90517
City:MauritiusCountry:Mauritius
8) ICANN Global Stakeholder Engagement Region:Africa

9) Activity Sponsors:
(Note: all event sponsors must be identified
in order to comply with ICANN travel guidelines).


Internet Society (ISOC), ICANN, Seacom

10) Proposed Goals and Outcomes:

Content Guidelines (click here)

 

I will make a presentation, participate in the debates related to policy development, and hold an AFRALO booth.

This active participation has an objective of drawing the attention of the African Internet end-users gathered there to the importance of participating in ICANN 's activities to make the voice of Africa better heard.

Of course, the side activities, such as discussions during the breaks, one to one chat, etc. have a good impact on finalizing establishment of the relationship.

The result would be

  • More African end-users joining AFRALO
  • More visibility and credibility for ICANN
  • Better image of AFRALO in the African Internet Eco-system
  • Strengthening AFRALO relationship with AFRINIC
11) Additional Information (optional):

We are working with the ICANN At-Large staff to get some outreach material shipped to Mauritius for our Booth

=============================================================== 
Acknowledgements Section

Note: The first three elements below should be completed by a Pilot Program Coordinator (PPC) designated by this organization/structure.

AcknowledgementsConfirmed?NameDateNotes
The participants identified in this application agree to abide by the terms and conditions of this FY17 Community Regional Outreach Pilot Program (CROPP) as outlined on the CROPP Procedures & Guidelines page. YesDaniel K. Nanghaka15-Sep-2016AFRALO - AFRINIC25 are currently partners and have had participation contributing directly to the increase in numbers in African ALSes
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.YesAziz HILALI16-Sep-2016I fully support the application
The ICANN Stakeholder Engagement Vice-President has concurred that the Proposed Goals/Outcomes of this Trip Proposal are consistent with operational plans and/or strategies.YesPierre Dandjinou20-Sep-2016AFRALO strong presence in this event completes well the engagement actions and fit in the framework of our regional strategy. (Comment posted by Aziz on behalf of Pierre Dandjinou)
The CROPP Staff Administrators confirm that this trip/event satisfies the program's terms, guidelines, and policies.
  =======================================================
Program Administration: STAFF USE ONLY

Approved Travel Elements:

TravelerApproved
Arrival Date
Approved
Departure Date
Approved Fees 

Staff Department Notifications:

Program RequirementDate Satisfied/ConfirmedInitialsNotes

Program Admin Transfers from Community Drafts to Approved Forms:

Trip Proposal Trip/Event Assessment


CROPP-FY17 Trip Proposal Template (Jul 2016)

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